| NPI | 1497928261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KY 42040) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY R0436) |
| 208600000X Surgery (Licence: KY TP121) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2018-09-06 |